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	<h1><a href="#">Breakers.EC - Moving07 </a></h1>
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			<p>&nbsp;&nbsp;&nbsp;&nbsp;<b>Tiếng Việt | English </b></p>
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			<h1 class="title">Thông tin chung </h1>
			<div class="entry">
			  <form id="form1" method="post" action="">
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				  <fieldset>
			        <table width="611" border="0">
                      <tr>
                        <td colspan="3"><h2>Thông tin gửi hàng online</h2></td>
                      </tr>
                      <tr>
                        <td width="144">Loại dịch vụ:</td>
                        <td width="20">&nbsp;</td>
                        <td width="433"><input name="txtLoaiDichVu" type="text" size="30" /></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td><label>Thời gian nhận gửi hàng: </label></td>
                        <td>&nbsp;</td>
                        <td><input name="publ_date" id="publ_date" value="" 
						style="width: 90px;" maxlength="10" readonly="readonly" type="text"/>
                            <select name="phour">
                                <option value="0" selected="selected">00</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
                            </select>:
                         <select name="pmin">
                             <option value="0" selected="selected">00</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
                        </select></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td>Địa điểm gửi:</td>
                        <td>&nbsp;</td>
                        <td><label>
                          <textarea name="txtDiaDiemDat" cols="50" id="txtDiaDiemDat"></textarea>
                        </label></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td><label>Thời gian khởi hành: </label></td>
                        <td>&nbsp;</td>
                        <td><input name="publ_date" id="publ_date" value="" 
						style="width: 90px;" maxlength="10" readonly="readonly" type="text"/>
                            <select name="phour">
                              <option value="0" selected="selected">00</option>
                              <option value="1">01</option>
                              <option value="2">02</option>
                              <option value="3">03</option>
                              <option value="4">04</option>
                              <option value="5">05</option>
                              <option value="6">06</option>
                              <option value="7">07</option>
                              <option value="8">08</option>
                              <option value="9">09</option>
                              <option value="10">10</option>
                              <option value="11">11</option>
                              <option value="12">12</option>
                              <option value="13">13</option>
                              <option value="14">14</option>
                              <option value="15">15</option>
                              <option value="16">16</option>
                              <option value="17">17</option>
                              <option value="18">18</option>
                              <option value="19">19</option>
                              <option value="20">20</option>
                              <option value="21">21</option>
                              <option value="22">22</option>
                              <option value="23">23</option>
                            </select>
                          :
                          <select name="pmin">
                              <option value="0" selected="selected">00</option>
                              <option value="1">01</option>
                              <option value="2">02</option>
                              <option value="3">03</option>
                              <option value="4">04</option>
                              <option value="5">05</option>
                              <option value="6">06</option>
                              <option value="7">07</option>
                              <option value="8">08</option>
                              <option value="9">09</option>
                              <option value="10">10</option>
                              <option value="11">11</option>
                              <option value="12">12</option>
                              <option value="13">13</option>
                              <option value="14">14</option>
                              <option value="15">15</option>
                              <option value="16">16</option>
                              <option value="17">17</option>
                              <option value="18">18</option>
                              <option value="19">19</option>
                              <option value="20">20</option>
                              <option value="21">21</option>
                              <option value="22">22</option>
                              <option value="23">23</option>
                              <option value="24">24</option>
                              <option value="25">25</option>
                              <option value="26">26</option>
                              <option value="27">27</option>
                              <option value="28">28</option>
                              <option value="29">29</option>
                              <option value="30">30</option>
                              <option value="31">31</option>
                              <option value="32">32</option>
                              <option value="33">33</option>
                              <option value="34">34</option>
                              <option value="35">35</option>
                              <option value="36">36</option>
                              <option value="37">37</option>
                              <option value="38">38</option>
                              <option value="39">39</option>
                              <option value="40">40</option>
                              <option value="41">41</option>
                              <option value="42">42</option>
                              <option value="43">43</option>
                              <option value="44">44</option>
                              <option value="45">45</option>
                              <option value="46">46</option>
                              <option value="47">47</option>
                              <option value="48">48</option>
                              <option value="49">49</option>
                              <option value="50">50</option>
                              <option value="51">51</option>
                              <option value="52">52</option>
                              <option value="53">53</option>
                              <option value="54">54</option>
                              <option value="55">55</option>
                              <option value="56">56</option>
                              <option value="57">57</option>
                              <option value="58">58</option>
                              <option value="59">59</option>
                          </select></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td><label>Thời gian đến: </label></td>
                        <td>&nbsp;</td>
                        <td><input name="publ_date" id="publ_date" value="" 
						style="width: 90px;" maxlength="10" readonly="readonly" type="text"/>
                            <select name="phour">
                              <option value="0" selected="selected">00</option>
                              <option value="1">01</option>
                              <option value="2">02</option>
                              <option value="3">03</option>
                              <option value="4">04</option>
                              <option value="5">05</option>
                              <option value="6">06</option>
                              <option value="7">07</option>
                              <option value="8">08</option>
                              <option value="9">09</option>
                              <option value="10">10</option>
                              <option value="11">11</option>
                              <option value="12">12</option>
                              <option value="13">13</option>
                              <option value="14">14</option>
                              <option value="15">15</option>
                              <option value="16">16</option>
                              <option value="17">17</option>
                              <option value="18">18</option>
                              <option value="19">19</option>
                              <option value="20">20</option>
                              <option value="21">21</option>
                              <option value="22">22</option>
                              <option value="23">23</option>
                            </select>
                          :
                          <select name="pmin">
                              <option value="0" selected="selected">00</option>
                              <option value="1">01</option>
                              <option value="2">02</option>
                              <option value="3">03</option>
                              <option value="4">04</option>
                              <option value="5">05</option>
                              <option value="6">06</option>
                              <option value="7">07</option>
                              <option value="8">08</option>
                              <option value="9">09</option>
                              <option value="10">10</option>
                              <option value="11">11</option>
                              <option value="12">12</option>
                              <option value="13">13</option>
                              <option value="14">14</option>
                              <option value="15">15</option>
                              <option value="16">16</option>
                              <option value="17">17</option>
                              <option value="18">18</option>
                              <option value="19">19</option>
                              <option value="20">20</option>
                              <option value="21">21</option>
                              <option value="22">22</option>
                              <option value="23">23</option>
                              <option value="24">24</option>
                              <option value="25">25</option>
                              <option value="26">26</option>
                              <option value="27">27</option>
                              <option value="28">28</option>
                              <option value="29">29</option>
                              <option value="30">30</option>
                              <option value="31">31</option>
                              <option value="32">32</option>
                              <option value="33">33</option>
                              <option value="34">34</option>
                              <option value="35">35</option>
                              <option value="36">36</option>
                              <option value="37">37</option>
                              <option value="38">38</option>
                              <option value="39">39</option>
                              <option value="40">40</option>
                              <option value="41">41</option>
                              <option value="42">42</option>
                              <option value="43">43</option>
                              <option value="44">44</option>
                              <option value="45">45</option>
                              <option value="46">46</option>
                              <option value="47">47</option>
                              <option value="48">48</option>
                              <option value="49">49</option>
                              <option value="50">50</option>
                              <option value="51">51</option>
                              <option value="52">52</option>
                              <option value="53">53</option>
                              <option value="54">54</option>
                              <option value="55">55</option>
                              <option value="56">56</option>
                              <option value="57">57</option>
                              <option value="58">58</option>
                              <option value="59">59</option>
                          </select></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td>Giớ thiệu ngắn gọn: </td>
                        <td>&nbsp;</td>
                        <td><label>
                          <textarea name="txtDiaDiemDat" cols="50" id="txtDiaDiemDat"></textarea>
                        </label></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td>Nội dung: </td>
                        <td>&nbsp;</td>
                        <td><label>
                          <textarea name="txtDiaDiemDat" cols="50" id="txtDiaDiemDat"></textarea>
                        </label></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td colspan="3"><h2>Thông tin khách hàng</h2></td>
                      </tr>
                      <tr>
                        <td>Họ và tên:</td>
                        <td>&nbsp;</td>
                        <td><input name="txtHoTen" type="text" id="txtHoTen" size="30" /></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td><label>Số điện thoại: </label></td>
                        <td>&nbsp;</td>
                        <td><input name="txtPhone" type="text" id="txtPhone" size="30" /></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td>Email:</td>
                        <td>&nbsp;</td>
                        <td><label>
                          <input name="txtEmail" type="text" id="txtEmail" size="30" />
                        </label></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td><label>Địa chỉ: </label></td>
                        <td>&nbsp;</td>
                        <td><input name="txtDiaChi" type="text" id="txtDiaChi" size="30" /></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td>Mã xác nhận: </td>
                        <td>&nbsp;</td>
                        <td><input name="txtMaXacNhan" type="text" id="txtMaXacNhan" /></td>
                      </tr>
                      <tr>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                        <td>&nbsp;</td>
                      </tr>
                      <tr>
                        <td colspan="3">Sau khi gửi hàng: Quý khách nhận được một mã gửi hàng gửi qua mail, cũng như thông tin gửi hàng<br />
Quý khách có thể dùng mã đơn hàng để xem thông tin qua trang web </td>
                      </tr>
                      <tr>
                        <td colspan="3">&nbsp;</td>
                      </tr>
                      <tr>
                        <td colspan="3"><label>
                          <input name="btnXemTruoc" type="submit" id="btnXemTruoc" value="Xem trước" />
                          <input name="btnReset" type="reset" id="btnReset" value="Reset" />
                          <input name="btnGuiDi" type="submit" id="btnGuiDi" value="Gửi đi" />
                        </label>
                          <label></label></td>
                      </tr>
                    </table>
		            <p><br />					 
		                </p>
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				<h2>DỊCH VỤ</h2>
				<ul class="back_title">
					<li class="top"><a href="#">Đường bộ</a></li>
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				<h2>HỖ TRỢ TRỰC TUYẾN</h2>
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                  <h2>QUẢNG CÁO</h2>
                  <ul class="back_title">
                      <li class="center"><a href="#"><img src="images/quangcao.png" alt="qc" width="185" height="346" /></a></li>					
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